Volunteer Award Nominations

For:

Appreciation Pin

Honor Pin

Thanks Badge

Thanks Badge II

Black Diamond Pin

Please DO NOT use this form for the Volunteer of Excellence Award. Note that a recent picture is required to complete this form. Please have that digital image ready to upload before starting this form.

Nominee's Name

Nominee's County

Nominee's State

Select or enter value

Nominee's Phone

Nominee's Email:*

Service Unit*

Select

How do you know the Nominee? Please include specific details.*

(Example: I have worked alongside Daisy Doe while volunteering with Troop 12345 for four years. We met five years ago when our girl's troop formed and began volunteering together a year later.)

How long has the nominee volunteered with our Council and what what role(s) has the nominee held previously and currently?

(Example: Daisy Doe has volunteered with our Council for 5 years. She has served as a troop leader, cookie chair and event planner.

NOTE: If you are unsure, contact your local service unit team members or Membership Delivery Manager.)

Award nominated for:*

Select

Please tell us, in detail, how your nominee has delivered service beyond their volunteer roles, while aligning with the qualifications of the award being considered.*

What specific audience benefited from the nominee's outstanding performance?*

What are the significant impacts or results of the nominee's performance to the Council?*

What other community roles or services has the nominee provided that may be relevant within the description of the award being considered?*

Endorsements

Each award has an endorsement requirement. Think of these as being "References" on a resume. Please list the required number of names of other adult members who will "back up" your nomination. Appreciation Pin - 2 Honor Pin -2 Thanks Badge - 3 Thanks Badge II - 3 Black Diamond Pin - 3

Endorsement #1

Name

Phone

Endorsement #2

Name

Phone

Endorsement #3

Name

Phone

Your Name:*

Your Email:*

Your Phone Number:*

Please attach a recent picture of the Nominee:*

Drag and drop files here or

The person NOMINATING a volunteer (YOU) is responsible for getting ALL ENDORSEMENTS turned in. Staff will not track them down. You must have them fill out the Endorsement form: https://goo.gl/jzDWL8 Please check the box below and put your email in again to receive a copy of your nominations.

Send me a copy of my responses

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